Service Request: Description of Service Requested
Service Request: Description of Service Requested
Home
owner
Date
finished
No.
Work
by:
Item
Invest.
Code
_________________________________________________
_________________________________________________
WARRANTY EXPIRATION DATE
PROJECT NAME
LOT#
_________________________________________________
_________________________________________________
HOMEOWNER NAME
HOME #
WORK #
_________________________________________________
_________________________________________________
STREET
PETS?
YES
NO
_________________________________________________
_________________________________________________
CITY
SIGNATURE
DATE
NOTE: In order to attend to service calls, this form MUST be used. Owner of property must submit a written Service Request. Verbal
messages and telephones calls for service will not be acknowledged, aside from **emergencies. Please keep in mind that maintenance of
all components of the home is the responsibility of the homeowner. If an inspection shows that the defect or deficiency was caused by
improper use, neglect of maintenance, or alterations made by homeowner and not by faulty workmanship or materials by contractor, I
agree to pay a charge for this service call. Please mail or fax all copies to S&S Homes of the Central Coast, Inc., 998 Huston St.,
Suite #C, Grover Beach, CA, 93433 OR 661-617-3251. You will receive an acknowledgment of request by mail followed by an
investigation appointment. **If you have an EMERGENCY please immediately call 800-785-0646.
Official Use Only
............................................................................................................................................................................................................................
FOR OFFICE USE ONLY
A.
B.
C.
D.
E.
Rev11/09